Individual
MR. JOHN JOE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-1833
Mailing address
1520 BRIARWYCK DR, BROWNSVILLE, TX 78520-9275
(512) 608-1518
(706) 544-1113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1063193
TX
Other
Enumeration date
07/18/2005
Last updated
02/28/2015
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